Nokea
A parent of a preschooler is being taught by a nurse about administering ear drops. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I will straighten my child's ear canal by pulling it upward and backward.
- B. I will administer the ear drops immediately after removing them from the refrigerator.
- C. I will pull the ear lobe down and back before administering the ear drops.
- D. I will massage my child's ear after administering the ear drops.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A child with suspected bacterial meningitis is under the care of a nurse. Which action should the nurse prioritize?
- A. Administer antibiotics as prescribed.
- B. Maintain the child on NPO status.
- C. Monitor the child's intake and output.
- D. Implement seizure precautions.
Correct Answer: D
Rationale: The priority action for a child with suspected bacterial meningitis is to implement seizure precautions. Meningitis can lead to increased intracranial pressure, which may trigger seizures. By implementing seizure precautions, such as padding the side rails of the bed and ensuring a clear environment, the nurse aims to prevent injury during a potential seizure episode, prioritizing the child's safety.
Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT
- A. low stage (I/II) at diagnosis
- B. no prior radiotherapy
- C. anaplastic histology
- D. more than 12 mo from nephrectomy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A newborn's parents are being taught about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should be included?
- A. Place the infant in a prone position to sleep.
- B. Allow the infant to sleep on a large pillow.
- C. Use a soft mattress in the infant's crib.
- D. Give the infant a pacifier at bedtime.
Correct Answer: D
Rationale: The correct instruction to prevent SIDS is to give the infant a pacifier at bedtime. The use of a pacifier while the infant is sleeping is associated with a decreased risk of SIDS. Other recommended preventive measures include placing the infant on their back to sleep, using a firm mattress in the crib, and avoiding soft bedding or pillows.
Prenatal exposure to cigarette smoke is associated with
- A. shorter neonatal length
- B. lower birthweight
- C. changes in neonatal behavior
- D. neonatal diabetes
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of a child with HIV is being educated by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?
- A. I will notify my child's school about their condition.
- B. I will give my child the prescribed antiretroviral medication at regular intervals.
- C. I will expect my child to receive yearly immunizations.
- D. I will bring my child in for yearly skin testing.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.